| Middle Path Psychotherapy Llc | |
|
505 Hamilton Ave Ste 204b Linwood NJ 08221-1059 | |
| (609) 365-7071 | |
| Not Available |
| Full Name | Middle Path Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 505 Hamilton Ave Ste 204b, Linwood, New Jersey |
| Authorized Official Name and Position | Brittany Rahn (OWNER) |
| Authorized Official Contact | 6093657071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Path Psychotherapy Llc 505 Hamilton Ave Ste 204b Linwood NJ 08221-1059 Ph: (609) 365-7071 | Middle Path Psychotherapy Llc 505 Hamilton Ave Ste 204b Linwood NJ 08221-1059 Ph: (609) 365-7071 |
| NPI Number | 1770310682 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 3274065248 |
|---|---|
| Medicare Enrollment ID | O20241015002870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770310682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brittany Rahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336833516 PECOS PAC ID: 1951848944 Enrollment ID: I20240808001287 |
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